| No. | Nama | Paraf |
|---|---|---|
| 1 | MUALIFAH | |
| 2 | TRI SETIAWAN | |
| 3 | MISIYAH | |
| 4 | SUSANTO | |
| 5 | ZAENAL SIDIK | |
| 6 | SUYADI | |
| 7 | SUNARDI | |
| 8 | CHAMDANI | |
| 9 | MUFIT ARDILAH | |
| 10 | SUJIYAH | |
| 11 | NUR KHOSAM | |
| 12 | RIYONO | |
| 13 | MALMI | |
| 14 | SOIM ARYANTO | |
| 15 | ROHIM | |
| 16 | SUWARDI | |
| 17 | PAIRAH | |
| 18 | SYAEFUDIN | |
| 19 | SALAMUN | |
| 20 | ELING | |
| 21 | SUWALDI | |
| 22 | MISNI | |
| 23 | DAHNO | |
| 24 | SISWANTO | |
| 25 | PARDAN | |
| 26 | MUHASIM | |
| 27 | WAHYU | |
| 28 | KUKUH | |
| 29 | BUNADI | |
| 30 | WIWIT ARIYADI | |
| 31 | SUWADIYONO | |
| 32 | ANTIYO | |
| 33 | ARIS | |
| 34 | YUSRO | |
| 35 | SLAMET | |
| 36 | TAADI | |
| 37 | MUHAMMAD ROFIK |